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issues
-angry outbursts
-triggers
-misinterpretation
-confusion
-disorientation
-environment (busy areas, communal areas)
solutions
-communicate slowly and clearly, allow time for Victor to respond
-ask questions to make sure he understands
-use visual aids if he does not clearly understand spoken communication
-give Victor personal space
-ask for help from other healthcare professionals

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ask her or carer for prefernce eg braille, bigger writing, sign lanague 

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ask her or carer for prefernce eg braille, bigger writing, sign lanague 

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Use reassuring non verbal communication, such a smiling, use an interpreter,

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- check if there is an available care plan or hospital passport to outline what disabilities he has and any preferences
- also assess from this passport how they display their emotions like happy or sad and assess this before providing communication as to not upset him further and any preferences of how they communicate eg, Makaton
- display positive body language to offer reassurance

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Bring a family member along who could possibly speak his behalf. Be prepared to repeat information again, dementia affects the brain and memory. Use open body language to make him feel comfortable.

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Use a translator, keep body language open and welcoming

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Be patient and calm.

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- Using the resources available from multi disciplinary teams to effectively communicate
- communicate through a strength - so as being partially sighted perhaps offering visual communication instead of auditabl  or if appropriate offering touch as comfort.
- assessing how far visually she can see and making that communication visible within her proximity of vision

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What aids does she use to access her daily activities, ensure that those are available if needed. May have to translate written documents into Braille, using touch if it’s consented too

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Does he have a hospital passport to gain information on preferred methods of contact.

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Understand better what stage and what type of dementia as they effect different parts of the brain. Repeating information, ensuring open body language and taking time to listen to them aswell. 

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Understand better what stage and what type of dementia as they effect different parts of the brain. Repeating information, ensuring open body language and taking time to listen to them aswell. 

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ask him how he would prefer to communicate whether it’s through pictures, body language. Don’t rush it, do it at his own pace.

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Use distraction techniques if Victor is unsettled 

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Use distraction techniques if Victor is unsettled 

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Issues could be he becomes frustrated because he doesn’t understand what is being said to him ,Be patient, communicate with family if there is some, find out from them what helps him best

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Braille
Asking if she has a preference to stand either side.
Standing closer

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Leaflet to take home.
Bring a family member with him.
Repeat things if needed.

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- Use visual aids and/or familiar communications
- Reiterate to his family/carers
- Simpler terms
- Access to written notes

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talk to him slowly and make sure he understand clearly what you are talking

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talk to him slowly and make sure he understand clearly what you are talking

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Speaking slow repeating yourself. Try and get him to repeat what you’ve said paraphrasing to make sure he understands. Not feeling annoyed when he forgets things, being understanding and repeating yourself. Starting a conversation. Knowing your boundaries I.e taking close hand on shoulder.

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Recognise what the learning disability is, see if the use of visual aids pictures would be useful. Being mindful of vocabulary being used when communicating 

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Recognise what the learning disability is, see if the use of visual aids pictures would be useful. Being mindful of vocabulary being used when communicating 

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Assess his level of dementia
Depending on his level of cognitive ability, change the way you speak to make yourself understandable to him
Also don’t be alarmed if he speaks out of term
Be prepared to repeat yourself

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Find his best way for communication, whether it’s talking,writing, diagrams, take time be patient, use understandable language

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To seek history to find out what his learning disability may be and what barriers there may be with communication.
If needed, does he have a family member or advocate who would need to be present during interventions.

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cooperate with the people he remembers to have better communication

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cooperate with the people he remembers to have better communication

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may not understand what you are trying to say, may become stressed due to not understanding.

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- potential language barrier with not speaking English
- communicate within a multi disciplinary team - asking a interpreter to communicate but also speaking with that team and outlining about the patient and what is required to be communicated.
- offering non verbal communication to provide reassurance - a smile or your presence being there
- meeting on a mutual language from staff on shift

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Don't use jargon.
Repeat things if needed.
Book a longer appointment, so they can take their time to go through the information.
Keep it simple but get the right information across .
Give him leaflets to take home.

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Refer to his care plan or ask for help of his support worker 

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Refer to his care plan or ask for help of his support worker 

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Alice is partially sighted so could use braille and sign language etc to communicate and ensure she knows what’s going on.

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Braille.

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A sheet he can point to things on as in pain scale and lost of gestures, having photos. Understanding his communication styles maybe speaking to family about what works best for him.

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See if she could use visual aids such as a pictures. Using Brailes and hearing loup. Finding aids such as glasses or hearing aids (if she uses them) and time to process and understand the information 

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See if she could use visual aids such as a pictures. Using Brailes and hearing loup. Finding aids such as glasses or hearing aids (if she uses them) and time to process and understand the information 

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Try to help with providing hearing aids 

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Try to help with providing hearing aids 

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Recognise the type of learning disability
Use language that he is using- change your communication skills to fit his needs
If there is a carer involved ask what suits him best

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this can cause confusion. to resolve this, non-verbal communication can be used, clear body language. written communication can be used to get points across clearly.

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- Use short sentences
- Simple terms
- Reiterate information to his family/carers
- Using familiar communication
- Access to visual communications

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Need to know background and history of dementia and at what level it may be.
Speaking to patient and family to find out the info needed for potentially better communication, keeping an open posture and being reassuring. A nice calm tone of voice.
To make sure you don’t show frustration.

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Could use braille, sign language, writing

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Use braille.
Make sure she understands the information before leaving.

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Doesn’t speak English. A translator might have to translate what she’s saying. But can interpret it in a way using body language gestures facial expressions etc.

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you can come across wrong if your body language is trying to speak for you, the service user may become stressed and not listen.

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Use Google translate or other usufull technologies 

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Use Google translate or other usufull technologies 

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Doesn’t speak English, have to get an interpreter gestures writing things down, use google translate.

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Hearing loup

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Finding out which language she does speak and use of a translator

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Ask her what communication preferences she has examples she may wish to write things down , speak or use braille

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translator/ interpreter so that all information can be communicated across effectively. having this language barrier can cause confusion and complications in their care/ treatment.

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Communication is coming from an unfamiliar person.

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You should use a translator and book one for future appointments.

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Translator.
Make sure she understands what is being said.

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Use his care givers to give effective means of communication 

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Use his care givers to give effective means of communication 

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Contact language line for the persons relevant language, ensure the translator is understanding of the situation before going into it

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they may be missed communication due to language barriers.

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Translator